Big Companies Position Themselves for Payday From $50B Federal Rural Health Fund

When Congress approved the One Big Beautiful Bill Act last summer, it cut nearly $1 trillion from Medicaid over the next decade. Now, the hope is the $50 billion Rural Health Transformation Program, which was part of the same bill, will help keep patients covered.

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Who Wants To Be California’s Insurance Commissioner? Your Guide To The Candidates

CalMatters interviewed five leading candidates who want to regulate one of the world’s biggest insurance markets. Here’s what they said.

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FTC Files Suit Over Telemarketing Scheme Selling Fake PPO Insurance

The Federal Trade Commission has filed suit to intervene in a scheme in which it says fraudulent telemarketers targeted individuals seeking insurance coverage. Per the complaint (PDF), which was filed earlier this month, the FTC alleges that participants in the scheme—who operated under names like American Collective and Innovative Partners—would contact consumers and tell them that they ...

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Novartis CEO Warns Reality Of Trump’s Drug Pricing Policy Will Set In Over ‘The Next 18 Months’

Novartis’ CEO warned Tuesday that the U.S. drug pricing policy under President Donald Trump poses a “very difficult situation” and the reality will soon catch up with both drugmakers and patients. “The longer-term implications are significant,” CEO Vas Narasimhan told CNBC’s Carolin Roth. “The reality of MFN is going to set in in the next 18 ...

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Insurers Have Eliminated 11% Of Prior Authorizations Under Reform Pledge

Last summer, the insurance industry broadly agreed to reform a major healthcare pain point: prior authorization. Now, two of the industry’s leading organizations are offering a look at progress toward those goals. AHIP and the Blue Cross Blue Shield Association released a report on Tuesday that found leading health plans reduced prior authorizations for an array of ...

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CMS, FDA Announce New Program To Speed Up Medicare Coverage Of Breakthrough Medical Devices

The Trump administration unveiled a new program to speed up Medicare coverage for breakthrough devices, touting that the new pathway cuts red tape for medical device companies to gain reimbursement. The Centers for Medicare and Medicaid Services (CMS) and the U.S. Food and Drug Administration (FDA) announced on Thursday the Regulatory Alignment for Predictable and ...

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